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Fournier gangrene in children

Radoslaw Jaworski, Ireneusz Haponiuk, Ninela Irga-Jaworska, Maciej Chojnicki, Mariusz Steffens, Konrad Paczkowski, Jacek Zielinski
OBJECTIVES: Postoperative infections are still an important problem in cardiac surgery, especially in the paediatric population, and may influence the final outcome of congenital heart disease treatment. Postoperative infections with fungi are uncommon. The aetiology is poorly understood, and the proper diagnosis and treatment is unclear. In this single-centre study, the frequency of invasive fungal disease in children who underwent surgical management of congenital heart diseases was determined along with the risk factors for infection, treatment options and outcomes...
September 2016: Interactive Cardiovascular and Thoracic Surgery
Mohsen Rouzrokh, Atossa Tavassoli, Alireza Mirshemirani
No abstract text is available yet for this article.
October 2014: Iranian Journal of Pediatrics
Satinder Pal Singh Bains, Vikram Singh, Manmeet Kaur Gill, Amit Jain, Vivek Arry
Necrotizing fasciitis of the perineum and external genitalia is a life-threatening infective gangrene, primarily seen in adults. It may be seen at any age but it is relatively uncommon in children. Here, we report a case of Fournier's gangrene in a two year old male child who was treated aggressively with broad spectrum antibiotics and early surgical debridement with hemodynamic stabilization. Even though no obvious precipitating cause was identified, hygiene was thought to be the inciting factor. Early surgical debridement with appropriate antibiotics and aggressive supportive care gave good results...
August 2014: Journal of Clinical and Diagnostic Research: JCDR
Andrew P Zbar
Patients may present with anal incontinence (AI) following repair of a congenital anorectal anomaly years previously, or require total anorectal reconstruction (TAR) following radical rectal extirpation, most commonly for rectal cancer. Others may require removal of their colostomy following sphincter excision for Fournier's gangrene, or in cases of severe perineal trauma. Most of the data pertaining to antegrade continence enema (the ACE or Malone procedure) comes from the pediatric literature in the management of children with AI, but also with supervening chronic constipation, where the quality of life and compliance with this technique appears superior to retrograde colonic washouts...
May 2014: Gastroenterology Report
Maria Tsinti, Theophani Tsekoura, Evangelos Blevrakis, Ioannis Vlachakis, Amalia Tsilimigaki-Christaki
A case of an 11-year-old prepubertal girl with Fournier's gangrene is presented. The diagnosis was posed after the disease had progressed to the typical clinical picture of frank gangrene. A benign viral infection, common warts, possibly represents the initiating event of the development of this necrotizing soft tissue infection. The development of childhood Fournier's gangrene in association with viral infections has been reported in the past. An optimal outcome was achieved by aggressive antibiotic and surgical treatment despite the late diagnosis...
2013: Case Reports in Pediatrics
M N Mallikarjuna, Abhishek Vijayakumar, Vijayraj S Patil, B S Shivswamy
Fournier's gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children. There has been an increase in number of cases in recent times. Despite advanced management mortality is still high and averages 20-30%. Early diagnosis using Laboratory Risk Indicator for Necrotizing Fasciitis score and stratification of patients into high risk category using Fournier's Gangrene Severity Index score help in early initiation of treatment...
2012: ISRN Surgery
Thomas P Cundy, Hilary A P Boucaut, Christopher P Kirby
Fournier's gangrene is a rare urologic emergency in childhood that requires prompt diagnosis to deliver definitive and supportive care. Host susceptibility risk factors differ between adult and pediatric age groups with affected children usually otherwise systemically healthy. We present a case of Fournier's gangrene in a 2-year-old, from a genitourinary source of sepsis secondary to previously unreported genitourinary anatomical anomalies of congenital buried penis and hypospadias. Illustrative applied anatomy identifies the pathogenesis of this case, aiding recognition and understanding of this rapidly progressive and destructive pathology...
April 2012: Journal of Pediatric Surgery
Carlos Garcés, Carolina Gómez, Iván D Florez, Juan D Muñoz
Fournier's gangrene is a rare but life-threatening disease characterized by necrotizing fasciitis of the perineal area. It mostly affects adult patients with an immunosuppressant factor and there are only a few cases reported in children. Use of nonsteroidal anti-inflammatory drugs has been associated with necrotizing fasciitis probably because of suppressing host immunity during infection. We describe a case of a six month old infant without immunosuppressant factors, with Founier's gangrene probably associated with nonsteroidal anti-inflammatory intake...
August 2010: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
M Jefferies, N K Saw, P Jones
Scrotal pain and swelling are common presentations in children and are usually secondary to torsion of the testis, hydatid of Morgagni or epididymo-orchitis. Fournier's gangrene is a rare, but life-threatening disease, that can present in a similar fashion. We present a rare case of Fournier's gangrene in a 5-year-old boy associated with a preceding varicella rash.
July 2010: Annals of the Royal College of Surgeons of England
Gülsen Ekingen, Tonguç Isken, Hakan Agir, Selim Oncel, Ayla Günlemez
Fournier's gangrene is uncommon in pediatric age group, and little is known about the disease in the newborn period and infancy. Three patients, aged 10 days, 14, and 17 months, with Fournier's gangrene, were treated in our hospital. The predisposing factors were prematurity, a diaper rash, and varicella infection, respectively. Especially, prematurity and diaper rash are rare predisposing factors in the pediatric population; therefore, high index of suspicion, prompt diagnosis, conservative surgery, and multidisciplinary approach are the mainstays of management in children with Fournier's gangrene...
December 2008: Journal of Pediatric Surgery
Jacob Ndas Legbo, Bello Bala Shehu
BACKGROUND: The term necrotizing fasciitis (NF) is now used in a generic sense to include all diffuse necrotizing soft-tissue infections except gas gangrene. It is a synergistic, polymicrobial soft-tissue infection associated with rapid progression, extensive necrosis, profound systemic toxemia, considerable morbidity and a high mortality rate. Although the disease is no respecter of age and affects a wide age group, adults are known to be more commonly affected than children. AIMS: To highlight the differences and similarities in the modes of presentation and results of intervention of NF in children and adults...
December 2005: Journal of the National Medical Association
P Romero Pérez, F J Merenciano Cortina, W Rafie Mazketli, M Amat Cecilia, M C Martínez Hernández
OBJECTIVES: The aims of this paper are: 1. To study the demand and reasons why of the vasectomy in area 12 of Valencian Community. 2. To analyse the adverse effects of our series and the predictable risk factors. 3. To review the adverse effects in the national series. 4. To review the adverse effects referred to in international publications. PATIENTS AND METHODS: A retrospective study was made of 300 patients who had submitted themselves to a vasectomy between january 1992 and december 2000...
March 2004: Actas Urologicas Españolas
A Rodríguez Alonso, M D Pérez García, A Núñez López, A Ojea Calvo, A Alonso Rodrigo, B Rodríguez Iglesias, J M Barros Rodríguez, J Benavente Delgado, J L Nogueira March
Fournier's gangrene is a skin infectious-necrotising process in the peri-neogenital area affecting males, usually in their sixties or seventies. Isolated flora from cultures of the necrotic lesion is commonly multi-microbial. In a majority of cases both aerobic and anaerobic micro-organisms are found in the cultures, Escherichia coli being the most commonly identified germ. Although considered in the past an idiopathic condition, in most patients today a genitourinary, anorectal or dermal triggering factor can be identified...
April 2000: Actas Urologicas Españolas
N Eke
BACKGROUND: Although there is much consensus, certain controversies exist regarding the management of Fournier's gangrene. METHOD: Publications in English on Fournier's gangrene from January 1950 to September 1999 were obtained through the Medline database and relevant reference lists in publications. It was possible to identify 1726 cases for study. Data extracted for review included country of reported cases, number of patients in each report and relevant clinical features...
June 2000: British Journal of Surgery
J Antón-Pacheco Sánchez, S Angulo Gómez, I Cano Novillo, A Gómez Fraile
Fournier's Gangrene (FG) is a rapidly progressive necrotizing fasciitis affecting the male scrotum and perineum, highly uncommon in paediatric patients. Initially considered as an idiopathic disease, it is frequently found associated to debilitating diseases or in immunocompromised patients. Prognosis is more favourable in children than in adults and is dependent of an early diagnosis and a rapid institution of the appropriate medical and surgical therapy.
April 1994: Actas Urologicas Españolas
A A Adeyokunnu
Six children aged between 3 and 12 weeks were treated for Fournier's syndrome in our hospital between 1972 and 1979. Circumcision, diaper rash, and perianal skin abscesses were suspected as portals of entry for pathogens initiating the lesions. In two cases Staphylococcus aureus was isolated. Medical treatment of the gangrenous area proved successful in all cases, and the children survived with no appreciable scrotal skin loss or adhesions. Our results confute the approach of previous workers, most of whom have advocated aggressive surgical management in a devastating illness like Fournier's gangrene...
February 1983: Clinical Pediatrics
J R Adams, J A Mata, D D Venable, D J Culkin, J A Bocchini
Necrotizing fasciitis of the genitalia is a rare urologic emergency that is especially uncommon in children. We report a case of Fournier's gangrene in a four-year-old boy and analyze the data from 55 previously reported cases. Pediatric cases have been successfully managed with a more conservative surgical approach and have had a significantly lower mortality rate than adult cases.
May 1990: Urology
S J Sussman, R P Schiller, V L Shashikumar
Three children, aged 9 days, 3 weeks, and 9 1/2 months, were treated for Fournier's syndrome. The portals of entry for a miscellaneous group of pathogens included a circumcision in the first, a circumcision and a diaper rash in the second, and a hot water burn in the third. The development of the condition after a circumcision is noteworthy because it is an extremely common surgical procedure. Medical and minor surgical treatment of the gangrenous areas during the period of rapid healing was successful. This approach contrasts with those researchers who recommend grafts...
December 1978: American Journal of Diseases of Children
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